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논문 기본 정보

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학술저널
저자정보
Young-Eun Kim (Korea University College of Medicine) Jo Min-Woo (Department of Preventive Medicine University of Ulsan College of Medicine Seoul Korea.) 박혜숙 (이화여자대학교) Oh In-Hwan (Department of Preventive Medicine School of Medicine Kyung Hee University Seoul Korea.) Yoon Seok-Jun (Department of Preventive Medicine Korea University College of Medicine Seoul Korea.) Pyo Jeehee (Department of Preventive Medicine Ulsan University Hospital University of Ulsan College of Medicine) 옥민수 (울산대학교)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.35 No.27
발행연도
2020.1
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1 - 17 (17page)

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Background: The present study aimed to update the methodology to estimate cause-specific disability weight (DW) for the calculation of disability adjusted life year (DALY) and health- adjusted life expectancy (HALE) based on the opinion of medical professional experts. Furthermore, the study also aimed to compare and assess the size of DW according to two analytical methods and estimate the most valid DW from the perspective of years lost due to disability and HALE estimation. Methods: A self-administered web-based survey was conducted ranking five causes of disease. A total of 901 participants started the survey and response data of 806 participants were used in the analyses. In the process of rescaling predicted probability to DW on a scale from 0 to 1, two models were used for two groups: Group 1 (physicians and medical students) and Group 2 (nurses and oriental medical doctors). In Model 1, predicted probabilities were rescaled according to the normal distribution of DWs. In Model 2, the natural logarithms of predicted probabilities were rescaled according to the asymmetric distribution of DWs. Results: We estimated DWs for a total of 313 causes of disease in each model and group. The mean of DWs according to the models in each group was 0.490 (Model 1 in Group 1), 0.378 (Model 2 in Group 1), 0.506 (Model 1 in Group 2), and 0.459 (Model 2 in Group 2), respectively. About two-thirds of the causes of disease had DWs of 0.2 to 0.4 in Model 2 in Group 1. In Group 2, but not in Group 1, there were some cases where the DWs had a reversed order of severity. Conclusion: We attempted to calculate DWs of 313 causes of disease based on the opinions of various types of medical professionals using the previous analysis methods as well as the revised analysis method. The DWs from this study can be used to accurately estimate DALY and health life expectancy, such as HALE, in the Korean population.
#Disability Weight #Burden of Disease #Republic of Korea #Ranking Method

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참고문헌 (25)

참고문헌 신청
Mundial B / 1993 / World Development Report 1993; Investing in Health / Oxford University Press google schola Murray CJ / 2002 / Summary Measures of Population Health : Concepts, Ethics, Measurement and Applications / World Health Organization google schola Ock M / 2016 / Disability weights measurement for 228 causes of disease in the Korean Burden of Disease study 2012 / J Korean Med Sci 31(Suppl 2):S129~S138 google schola Murray CJ / The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020: summary google schola Stouthard ME / 1997 / Disability Weights for Diseases in the Netherlands / Instituut voor Sociale Geneeskunde google schola

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